1121 E LINKSIDE CT DOOR PERMRESIDENTIAL PERMIT PERMIT NUMBER
St' RES19-0025
CITY OF ATLANTIC BEACH
ISSUED: 2/1/2019
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 7/31/2019
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMITTYPE: I DESCRIPTION: VALUE OF WORK:
1121 E LINKSIDE CT RESIDENTIAL ALTERATION install single-entry door on $855.00
RESIDENTIAL garage
172374 5095 SELVA LINKSIDE UNIT01
COMPANY:ADDRESS: '
LOWES HOME CENTERS 4948 TELSON PL ORLANDO FL 32812
INC
• ADDRESS: '
MORRIS JUNE G TRUST C/O JUNE G MORRIS TRUSTEE ATLANTIC BEACH FL 32233-4386
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION
ACCOUNT
QUANTITY
PAID AMOUNT
BUILDING PERMIT
455-0000-322-1000
0
$55.00
BUILDING PLAN CHECK
45S-0000-322-1001
0
$27.50
STATE DBPR SURCHARGE
4S5-0000-208-0700
0
$2.00
STATE DCA SURCHARGE
455-0000-208-0600
0
$2.00
TOTAL: $86.50
Issued Date: 2/1/2019 1 of 2
,a City of Atlantic Beach
:! y
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
S � q 3 � -cc
Ca.,�
Date routed: t /
APPLICATION REVIEW AND TRACKING FORM
Property Address
Applicant: Lb w k Lm 0-�IA4
Project: i
Review fee $
Department review required Ye No
uilding
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department
(Circle one.)
BUILDI
PLANNING & ZONING
TREE ADMIN.
First Review:
Comments:
[yApproved.
Reviewed by:
❑Denied.
01
❑Not applicable
Date:
Second Review: ❑Approved as revised. ❑Denie
❑Not applicable
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
Date:
FIRE SERVICES
Third Review:
❑Approved as revised.
❑Denied.
❑Not applicable
Comments:
Reviewed by:
Date:
Revised 05/19/2017
OFFICE COPY
Building Permit Application
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, EL 32233
}Phone: (904) 247-5826 Fax: (904) 247-5845 G
Job Address: Y, 4'`-tr'^' �-
Permit Number:
Legal Description 44-23 17 -2S -29E SELVA LINKSIDE UNIT 1 LOT 18
RE# _172374-5095
Valuation of Work (Replacement cost) S__855.00 Hiated/Cooled 5F Non- Heated/Cooled
• Class of Work (Circle one)New ddition Alteration Repair M Dol Window/Door
• Use of existing/proposed structure(s) (C4rcle one); Commercial ResidentiaJrNo • If an existing structure, is a fire sprinkler system installed? (Cl rle one ; yes N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe In detail the type of work to
permrmea:
���)Slr�ll'it� rr f r�yY /J1k7'"
Florida Product Approvalti; 15225.3 for multiple products use product gpproval form
Property Owner Information U
Name: •-_/_.f N?-_I7'an i.: f.,� Address: i) �) L j iC✓ cn
1
City Ct.} :C' (f.� t State ��L Zlp n .3 Phone V � �7 — � e7 Q p
E -Mail CL
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) ali
Contractor Inforrttation fj
l
Q
Name of Company: Lowes Home Centers LLC W U Q U
Qualifying Agent: Pete Cafaro11
Address Pt] BOX 781993 City Orlando State 3
FL Zi �
P�.�;
Office Phone (004)535-379337S3 Job Site/Contict Number Dan &Nm Si
{9m)s,3m tL
State Certification/Registration #i COC152sa17 E-Mail�-
Architect Name & Phone # N/A
Engineer's Name & Phone # wA tJ
LL
Z
Workers Compensation wCt?�31ia2et6 exa;+aaatnota
E>Dernpt l Insurer / Lease Errrployees J Fxpiratbn date ui :D
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or i+c�,jj }
commenced
W
prior to the issuance of a permit and that all work will be performed to meet the standards of ail the law gulatior>s:
W
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBIf SIGNS,
5
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDMONERS, etc.
UJI
cc
cc
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Y lc _
(Sigrsature of Owner or Agent including Contractor) Lure of Contractor}
S pid and sworn to (or affirmed) before me this / -day of Signed and sworn to (or affirmed) before me this ]U� day of
by 1140 kLltiftiM� Zc �byy IIF Err- n
y ��t hlt'i+tlta,f s "Rd of Notary) (Sign— atureofNotaN)
10N :.,3
y✓r, Eabtt{E5 AUG i6
2f12
tsrstatelnSWmce ,^�;�Y'P .,, NATHANEIROOKSRYDER
(J Personally Known OR = �, NotaryPublic- StateofFlorida
( ersorsallyKnownOR .; Commission 4 GG OW38
Produced tdentificat;o ( ) }� (j Produced Identification =: �•
Type of Identification' ` My Comm. Expires Apr 16, 2021
Type of Identification: • �`"•'` Bordedthn;uc NatioralNotary Assn.
Florida Building Code Online
Date Pending FBC Approval
Date Approved
of Products
I X FL #
15225.1
Model, Number or Name
12/22/2017
Description
Page 2 of 3
OFFICE COPY
a, "Classic -Craft" and "Benchmark 6/8 and 8/0 Opaque and Glazed Fiberglass Door with and
by Therma-Tru" I without Sidelites, Inswing and Outswing
Limits of Use
-- -- Approved for use in HVHZ: No -- -- - --
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: See INST 15225,1-68 (6'8 Door Products), INST
15225.1-80 (8'0 Door Products) and INST 15225-68M (6'8
Door Products Direct to Masonry) for installation Instructions.
(Note - Glazing Shall comply with ASTM E1300-04)
V
Certification Agency Certificate
Quality Assurance Contract Expiration Date
12/31/2021
Installation Instructions
FLl Llnst 125.1-68.pdf
FL15225 R4 II (a)Inst 15225.1-80.pdf
FL15225 R4 II (a) Inst 15225-68M.pdf
FL15225 R4 R FL -15225.1 Glazing Det..odf
Verified By: Lyndon F. Schmidt, P.E. 43409
Created by Independent Third Party: Yes
Evaluation Reports
FL15225 R4 AE (a) Eval 15225.1-68.odf
FL15225 R4 AE (a) Eval 15225 1-80.pdf
1`1-15225 R4 AE aj Eval 15225-68M.pdf
Created by Independent Third Party: Yes
15225.2
b. "Construction Series" and
"Benchmark by Therma-Tru"
6/8 Opaque Steel Door with and without Sidelites. Inswing
and Outswing
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15225 R4 C CAC 15225.2 NAMI ceits.pdf
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: Yes
12/31/2021
Design Pressure: N/A
Installation Instructions
Other: See INST 15225.2-68 (6'8 Door Products) and INST
Ft,15225 R4 II (a) Inst 15225.2-68.vdf
15225-68M (6'8 Door Products Direct to Masonry) for
FL15225 R4 II (a) Inst FL-15225-68MA.udf
Installation instructions. (Note - Glazing Shall comply with
FL15225 R4 11 FL -15225.2 Glazing Det..udf
ASTM E1300-04)
Verified By: Lyndon F. Schmidt, P.E. 43409
product approval requires the use of "T' part number doors
Created by Independent Third Party: Yes
and Sidelites, which have been stained or painted within 6
Evaluation Reports
months of installation - Excludes Opaque Benchmark Door
FL15225 R4 AE (a) Eval 15225.2-68.udf
Panels,)
FL15225 R4 AE (a)1=L-15225.68MA.ydf
Evaluation Reports
Created by Independent Third Party: Yes
15225.3
c. "Fiber -Classic" and "Benchmark
by Therma-Tru"
6/8 and 8/0 Opaque and Glazed Fiberglass Door with and
without Sldelltes. Inswing and Outswing
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FI.152W_ R4 C _CAC NAMIcet c(f
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
12/31/2021
Design Pressure: N/A
Installation Instructions
Other: See INST 15225,3-68 (6'8 Door Products), INST
FL15225 R4 II-(a)Inst, 1522a.j-_6 8.pdf
15225.3-80 (8'0 Door Products) and INST 15225-68M (6'8575
R4 lI (a) Inst lS.U$.3-80.pdf
Door Products Direct to Masonry) for installation instructions.
FL15225 R4 II (a) Inst 15225-68M.vdf
Note - Glazing Shall comply with ASTM E1300-04. (This
FL15225 R4 I1 FL -15225.3 Glazino Det..udf
product approval requires the use of "T' part number doors
Verified By: Lyndon F. Schmidt, P.E. 43409
and Sidelites, which have been stained or painted within 6
Created by Independent Third Party: Yes
months of installation - Excludes Opaque Benchmark Door
Evaluation Reports
Panels,)
FL15225 R4 AE (a) Eval 15225.3-68.odf
Evaluation Reports
FLIS225 R4 AE (a) Eval 15225.3-80.udf
FL15225 R4 AE (a)FL-15225-68MA.vdf
FL15225 R4 AE (a Eval 15225_68M.pdf
F1LLK25 R4 AE (b) Eva! 15225.4.68.vdf
Created by Independent Third Party: Yes
15225.4
d. "Premium Series" and
6/8 and 8/0 Opaque Steel Door with and without Sidelites.
"Benchmark by Therma-Tru"
Inswing and Outswing
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FI -15225 R4 C CAC 15225.4 NAMI ceits.vdf
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: Yes
12/31/2021
Design Pressure: N/A
Installation Instructions
Other: See INST 15225.4-68 (6'8 Door Products), INST
fblsZ_$ Rj 1L -{a) Inst FL. 35225 68h1A.vdf
15225.4-80 (8'0 Door Products) and INST 15225-68M (6'8
FL15225 R4 II (b) Inst 15225.4-68.vdf
Door Products Direct to Masonry) for installation instructions,
FL15225, R4 1I (b) Inst15225.4-80.udf
(Note - Glazing Shall comply with ASTM E1300-04)
FLIS225 R4 II FL -15225 4 Glazina Det pdf
Verified By: Lyndon F. Schmidt, P.E. 43409
Created by Independent Third Party: Yes
Evaluation Reports
FL15225 R4 AE (a)FL-15225-68MA.vdf
F1LLK25 R4 AE (b) Eva! 15225.4.68.vdf
FL15225 R4 AE (b) Eval15225.4-80.ydf
Created by Independent Third Party: Yes
https://www.floridabuil ding. org/pr/pr_app_dtl. aspx?param=wGEVXQwtDgv3y V VKJZ IQ... 7/20/2018